Yes, he needs help. You can take him to the ER....they will likely keep him for a psych evaluation. If you are not doing that, maybe you can keep him in with you tonight? Maybe watch comedies and eat snacks....kinda like a slumber party. It may lift his spirits, and give you peace of mind until you can get him to a professional.
You can call the er or anohter hospital and they can refer you to a help line that can guide you through what to do,
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